Application of Sarah Pitchinoce to JCRS, 1907 July 10
Application for admittance to JCRS filled out by hand for Sarah Pitchinoce and dated July 10, 1907. Information on the form includes her age, birth place, occupation, residence, marital status, nearest relatives, and signed Sarah Pitchinoce. The back of the form has sections titled "Report of Medical Examiner" and "Admission and Dismission Committee," are blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 531, Case No. 350, Application of, Sarah Pitchinoce, Address 1383 Hazel Court, Denver, Colo., Received July 10, 1907, Accepted July 19, 1907, Rejected, Admitted July 22 1907, Readmitted, Discharged, Left August 12 1907, Died."
- 1907 July 10
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
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1 items (application)
Scope and Contents
From the Series: This series of patient records includes medical reports and histories, statistical data of patients, x-rays, and death certificates. The patient files include applications, correspondence and some may also contain photographs and personal items.
Physical Characteristics and Technical Requirements
Good Multiple tears at top and bottom edges. 31 x 22 centimeters
Title supplied by archivist